Evaluating a Collaborative Approach to Improve Prior Authorization Efficiency in the Treatment of Hepatitis C Virus.
Qual Manag Health Care
; 26(3): 136-139, 2017.
Article
en En
| MEDLINE
| ID: mdl-28665904
ABSTRACT
OBJECTIVE:
A team-based approach to obtaining prior authorization approval was implemented utilizing a specialty pharmacy, a clinic-based pharmacy technician specialist, and a registered nurse to work with providers to obtain approval for medications for hepatitis C virus (HCV) infection. The objective of this study was to evaluate the time to approval for prescribed treatment of HCV infection.METHODS:
A retrospective observational study was conducted including patients treated for HCV infection by clinic providers who received at least 1 oral direct-acting antiviral HCV medication. Patients were divided into 2 groups, based on whether they were treated before or after the implementation of the team-based approach. Student t tests were used to compare average wait times before and after the intervention.RESULTS:
The sample included 180 patients, 68 treated before the intervention and 112 patients who initiated therapy after. All patients sampled required prior authorization approval by a third-party payer to begin therapy. There was a statistically significant reduction (P = .02) in average wait time in the postintervention group (15.6 ± 12.1 days) once adjusted using dates of approval.CONCLUSIONS:
Pharmacy collaboration may provide increases in efficiency in provider prior authorization practices and reduced wait time for patients to begin treatment.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Antivirales
/
Mecanismo de Reembolso
/
Uridina Monofosfato
/
Bencimidazoles
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Hepatitis C
/
Servicios Comunitarios de Farmacia
/
Fluorenos
/
Seguro de Servicios Farmacéuticos
Tipo de estudio:
Observational_studies
Límite:
Aged
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Qual Manag Health Care
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Año:
2017
Tipo del documento:
Article